Colon Cancer Stage III
Conditions
Keywords
High risk stage III (pT4N1/2 or pTanyN2) colon cancer
Brief summary
A multicenter, open labeled randomized, phase II trial comparing mFOLFIRINOX and mFOLFOX6 as adjuvant treatment for high risk stage III (pT4N1/2 or pTanyN2) colon cancer
Detailed description
After inclusion and exclusion criteria have been fulfilled and the patient consent has been obtained, the patient will be included and randomized to mFOLFIRINOX or mFOLFOX 6 with a 1:1 ratio. Arm A: mFOLFIRINOX Arm B: mFOLFOX
Interventions
DRUGmFOLFIRINOX
Irinotecan 150 mg/m2 IV day 1, oxaliplatin 85 mg/m2 IV day 1, Leucovorin 400 (or levoleucovorin 200) mg/m2 IV day 1, 5-FU 1200 mg/m2/d IV x 2 days (total 2400 mg/m2 over 48 hours) continuous infusion\] 12 cycles per 2 weeks mFOLFOX 6 \[Oxaliplatin 85 mg/m2 IV day 1, Leucovorin 400 (or levoleucovorin 200) mg/m2 IV day 1, 5-FU 400 mg/m2 IV bolus day 1, 5-FU 1200 mg/m2/d IV x 2 days (total 2400 mg/m2 over 46-48 hours) continuous infusion, 12 cycles per 2 week
DRUGmFOLFOX 6
Oxaliplatin 85 mg/m2 IV day 1, Leucovorin 400 (or levoleucovorin 200) mg/m2 IV day 1, 5-FU 400 mg/m2 IV bolus day 1, 5-FU 1200 mg/m2/d IV x 2 days (total 2400 mg/m2 over 46-48 hours) continuous infusion, 12 cycles per 2 weeks
Sponsors
Chungnam National University Hospital
Boryung Pharmaceutical Co., Ltd
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
20 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
1. Age of 20-70 years with an ECOG ≤ 2 2. Age of 71-75 years with an ECOG = 0 3. Pathologically confirmed high-risk stage III colon adenocarcinoma (pT4N1 or pTanyN2) 4. Curative radical resection (successful R0 resection) within 60 days before randomization 5. Adequate organ functions * ANC ≥ 2×106 cells/mL * Hemoglobin ≥ 9.0 g/dL * Platelets ≥ 100×106 cells/mL * Alanine aminotransferase/aspartate aminotransferase ≤2.5 × times the upper limit of normal (ULN) * Serum total bilirubin ≤ 1.5 ULN * Alkaline phosphatase ≤ 2.5 × ULN * Serum creatinine ≤1.5 × ULN or creatinine clearance \> 50 mL/min (Cockcroft-Gault formula) 6. Able to understand and willing to sign and date written voluntary informed consent form 7. Life expectancy ≥ 5 years
Exclusion criteria
1. Distant metastasis 2. Middle or lower rectal cancer of need for radiotherapy 3. Postoperative complication of 3 or more grades of Clavien-Dindo classification 4. Underlying disease or postoperative condition which is contraindication for chemotherapy 5. Known hypersensitivity reaction to any study treatment component 6. Familial adenomatosis polyposis or hereditary non-polyposis colorectal cancer 7. Inflammatory bowel disease 8. Previous other malignancy which cannot be curatively treated 9. Pregnancy or breast feeding 10. Any other situation would exclude the patient from study based on the investigator's opinion
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Disease free survival (DFS) | 3 years after the operation | the time from the date of operation to the date of the first recurrence or the death from any cause |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Overall survival (OS) | 3 years after the operation | the time from the date of operation to the date of the death from any cause |
| Incidence of treatment-related adverse events | 3 years after the operation | Toxicity of all grade and more than grade 3 based on CTCAE version 5.0 |
Countries
South Korea
Contacts
CONTACTKyung Ha Lee
PRINCIPAL_INVESTIGATORKyung Ha Lee
Chungnam National University Hospital
Outcome results
None listed